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III aVF II
Records atrial depolarisation (following sinus
node discharge)
Wave travels inferiorly and from right to left.
Therefore normal P wave generates positive
deflection in lead II (negative in aVR!)
Each P wave should be conducted to ventricles
Rate of firing normally determines heart rate
P wave does not exceed 0.12 sec
Represents time taken under normal circumstances
for transmission of signal from atria to ventricles
through AV node and His-Purkinje system
Regular/irregular
P (+) in I, II and aVF
AND
P (-) in aVR
AND